In-Office Evaluation — Urinary Incontinence

Urinary IncontinenceIncontinence is a common and bothersome problem for many women. Incontinence is not often talked about but has a significant impact on a woman's life. Many women unnecessarily take a less active approach to life because of urinary incontinence. 

At Women's Health Consultants we have the knowledge, tools, skills, and experience to help you overcome or manage urinary incontinence. We offer multichannel urodynamic testing in the comfort of our office. Some management options for urinary incontinence include physical therapy, medication, pessaries, and surgery.

Urodynamic testing: what to expect

There are several pieces that make up the urodynamics study. You should plan to arrive with a full bladder. You will be asked to urinate into a special commode chair. This will measure how much urine comes out and how fast it comes out. This test is called a Uroflow.

Next, a catheter (a small soft tube) will be placed into your bladder to drain out all the leftover urine. This will show how well your bladder emptied. Through a catheter, your bladder will be filled and the pressure of your bladder muscle and its response to being filled will be measured. At the same time, an estimate of the pressures outside the bladder will be measured by inserting another catheter into the rectum or the vagina. The measurement of bladder pressure is called a Cystometrogram (or CMG).

As the bladder fills, the different pressure measurements will be recorded, and you will be asked to cough and push or bear down to check for any leakage. You will also be asked about the way your bladder feels as it is filling. Your bladder will be filled with a sterile water-type fluid. Filling your bladder should not hurt.

Small sticky patches are often placed on either side of your anus to measure the electrical activity of certain muscles. This procedure is called an Electromyogram (or EMG).

When you feel your bladder is full, you will be asked to empty your bladder into the special commode chair again. This time you will urinate with the tubes in place. The tube in your bladder is a special kind of catheter and will let the urine or fluid come out around it. This lets us look at your bladder function as it tries to empty. This is called a Voiding Pressure Study or a Pressure Flow Study.

The catheter might be moved back and forth to get some extra information about the urine channel or urethra.

Your results

After your health care provider has reviewed all the information, she will discuss the results with you. You both will then decide on the best plan of treatment for you.